超觉静坐疗法联合压力源脱敏法对双相情感障碍患者述情障碍、自我和谐水平的影响  

Effects of super sensory sedentary therapy combined with stressor desensitization on alexithymia and self harmony in patients with bipolar disorder

作　　者：阎加民 庞吉成 王莹 朱世丽 谭连洋 孙建 YAN Jiamin;PANG Jicheng;WANG Ying;ZHU Shili;TAN Lianyang;SUN Jian(Department of Psychology,Zibo Maternity and Child Health Hospital,Zibo 255000,China)

机构地区：[1]山东省淄博市妇幼保健院心理科,255000

出　　处：《中国健康心理学杂志》2023年第1期27-32,共6页China Journal of Health Psychology

基　　金：国家卫生计生委“十三五”规划重点课题(编号:YYWS1218)。

摘　　要：目的:探讨超觉静坐疗法联合压力源脱敏法对双相情感障碍患者述情障碍、自我和谐水平的影响。方法:选取2019年1月-2021年6月淄博市妇幼保健院收治的86例双相情感障碍患者作为研究对象,采用随机数字表法分为研究组(n=43)与对照组(n=43)。对照组予以丙戊酸钠缓释片联合富马酸喹硫平治疗,研究组在对照组基础上予以超觉静坐疗法联合压力源脱敏法治疗,疗程均为8周。比较两组患者治疗前及治疗8周的阳性和阴性综合征量表(Positive and Negative Syndrome Scale, PANSS)评分、多伦多述情障碍量表(Toronto Alexithymia scale 20,TAS-20)评分、自我和谐量表(Self Consistency Congruence Scale, SCCS)评分。结果:治疗8周,研究组PANSS量表中阳性症状、阴性症状、一般精神病理评分及总分均显著低于对照组(t=-10.086,-8.758,-13.604,-15.209;P<0.001);治疗8周,研究组TAS-20量表中缺乏描述情感能力、缺乏识别情感能力、外向性思维评分及总分均显著低于对照组(t=-6.597,-5.037,-10.945,-13.65;P<0.001);治疗8周,研究组SCCS量表中自我经验的不和谐、自我的灵活性、自我的刻板性评分及总分均显著低于对照组(t=-14.263,-9.444,-9.208,-22.530;P<0.001)。结论:超觉静坐疗法联合压力源脱敏法治疗可有效减轻双相情感障碍患者的精神症状,缓解患者的述情障碍,提高其自我和谐水平。Objective:To explore the effects of super sensory sitting therapy combined with stressor desensitization on alexithymia and self harmony in patients with bipolar disorder.Methods:A total of 86 patients with bipolar disorder treated in Zibo maternal and child health hospital from January 2019 to June 2021 were selected as the research object.They were randomly divided into study group(n=43)and control group(n=43).The control group was treated with sodium valproate sustained-release tablets combined with quetiapine fumarate, and the study group was treated with super sensory sedentary therapy combined with pressure source desensitization on the basis of the control group.The course of treatment lasted for 8 weeks.The scores of positive and Negative Syndrome Scale(PANSS),Toronto Alexithymia Scale 20(TAS-20)and Self Consistency Congruence Scale(SCCS)were compared between the two groups before treatment and 8 weeks after treatment.Results:After 8 weeks of treatment, the positive symptoms, negative symptoms, general psychopathological scores and total scores of PANSS in the study group were significantly lower than those in the control group(t=-10.086,-8.758,-13.604,-15.209;P<0.001);After 8 weeks of treatment, the scores of TAS-20 in the study group were significantly lower than those in the control group(t=-6.597,-5.037,-10.945,-13.65;P<0.001);After 8 weeks of treatment, the disharmony of self experience, self flexibility, self stereotype score and total score in the SCCS scale in the study group were significantly lower than those in the control group(t=-14.263,-9.444,-9.208,-22.530;P<0.001).Conclusion:Super sensory sedentary therapy combined with stressor desensitization can effectively reduce the mental symptoms of patients with bipolar disorder, alleviate the alexithymia of patients, and improve their self harmony level.

关 键 词：双相情感障碍 超觉静坐疗法 压力源脱敏法 述情障碍 自我和谐 

分 类 号：R749.05[医药卫生—神经病学与精神病学]